North West Region
Coaching and Leadership BursaryApplication Form
ApplicantPersonal DetailsName
Address
Phone Number
Email Address
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British Canoeing Membership Number
Club Information
Name of Club
British Canoeing Club Affiliation Number
Club Contact Name (committee member)
Club Contact Phone Number
Club Contact Email Address
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Club Contact Postal Address
Course Information
Full Course Name
Full Amount of Course
Proposed Date of Course
Aspirant Provider
Prerequisites
Please tick to confirm that you have completed all the prerequisites for the course you are proposed to attend. If you require further information on prerequisites for the course please visit:
Club Declaration
On behalf of the Club: I can confirm that the applicant is an active volunteer within the club. I expect the applicant to remain an active volunteer after attending the above course and continue to be an active volunteer with the additional training / qualification and be an asset to the club and the region. In signing this application, I agree to the terms set out in the document “2018 Coaching and Leadership Bursary Information”.
Sponsors Name:
Sponsors Position in Club Committee:
Sponsors Signature:
Date:
Applicant Declaration
I confirm that I will use my best endeavours to complete the above course and commit to use the training / qualification in continued support of my club and the region. In signing this application, I agree to the terms set out in the document “2018 Coaching and Leadership Bursary Information”.
Applicants Name:
Applicants Signature:
Date:
Submission Details
Completed forms should be returned to the regional Chair. Scanned in forms can be sent to:
You should apply for the bursary before you book your course. If the financial commitment is prohibiting you to commit to the course you should wait until you have written confirmation that we will provide you with the grant following completion of the course.
It is recommended that both the club and the applicant keep a copy of this form and covering letter for their records.
Further Information
For further information on coaching and leading please contact your Area Coaching Representative.
For further information on the coaching and leadership bursary either contact your Area Coaching Representative, the Regional Coaching Representative or the Chair.
BC NW RDT 20181Version 1